TEST BANK
Bates’ Nursing Guide to Physical Examination and History Taking
Beth Hogan-Quigley, Mary Louis Palm
3rd N o r t h A m e r i c a n Edition
1|Page
,Table of Contents
Chapter 1. Intro to Health Assessment and Social Determinants of Health
Chapter 2 Critical Thinking and Clinical Judgement in Health 4
Assessment Chapter 3 Interviewing and Communication 10
Chapter 4 The Health History 17
Chapter 5 Cultural and Spiritual Assessment 24
Chapter 6 Physical E.xamination-Let's Get Started 30
Chapter 7 Be.ginning the Physical Examination-General Survey, Vital Signs, and 36
Pain 41
Chapter 8 Nutritionand Hydration 47
Chapter 9 The Integumentary System 53
Chapter 10 The Head and Neck 62
Chapter 11The Eyes 69
Chapter 12 Ears, Kose, Mouth, and Throat 74
Chapter 13 The Respiratory System 84
Chapter 14 The Cardiovascular System 90
Chapter 15 The Peripheral Vascular System 96
Chapter 16 The Gastrointestinal and Renal Systems 107
Chapter 17 The Breasts and Axillae 114
Chapter 18 The Musculoskeletal System 122
Chapter 19 Mental Status and Mental Health Assessment 129
Chapter 20 The Ken-ous System 138
Chapter 21 Reproductive Systems 148
Chapter 22 Putting the Physical Examination AU Togetlier 157
Chapter 23 Assessing Children-Infancy Through Adolescence 166
Chapter 24 Assessing Older Adults
,Chapter 1
MULTIPLE CHOICE
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
C) A new patient with the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖
Ans: C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Chapter: 01
Feedback: The thorax and lungs are part of the physical examination, not part of the
health history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
with activity and relieved by rest.
A) Subjective
B) Objective
Ans: A
Chapter: 01
4. Is the following information subjective or
objective? Mr. M. has a respiratory rate of 32 and a
pulse rate of 120.
A) Subjective
B) Objective
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Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans: B
Ans: A
Chapter: 01
Chapter: 01
Feedback: This is a measurement obtained by the examiner, so it is considered
Feedback: This isThe
objective data. information
patient isabout a significant
unlikely hospitalization
to be able to give thisand should be placed
information to the in the
adult illnesses
examiner. section. If the patient is being seen for an asthma exacerbation, you may consider
5. The following information is recorded in the health history: ―The patient has had
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting.
It is located in the mid- epigastric area.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Chapter: 01
Feedback: This information describes the problem of abdominal pain, which is the
present illness. The interviewer has obtained the location, timing, severity, and
associated manifestations of the pain. The interviewer will still need to obtain
information concerning the quality of the pain, the setting in which it occurred, and the
factors that aggravate and alleviate the pain. You will notice that it does include
portions of the pertinent review of systems, but because it relates directly to the
complaint, it is included in the history of present illness.
6. The following information is recorded in the health history: ―The patient completed 8th
grade. He currently lives with his wife and two children. He works on old cars on the
weekend. He works in a glass factory during the week.‖
Ans: C
Chapter: 01
Feedback: Personal and social history information includes educational level, family of
origin, current household status, personal interests, employment, religious beliefs,
military history, and lifestyle (including diet and exercise habits; use of alcohol,
tobacco, and/or drugs; and sexual preferences and history). All of this information is
documented in this example.
7. The following information is recorded in the health history: ―I feel really
tired.‖ Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems